Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $812.83	Facility		$173.78	$181.97	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $181.97	Professional		$81.28	$112.20	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $630.96	Facility		$158.49	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $245.47	Professional		$77.62	$131.83	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $263.03	Professional		$95.50	$144.54	$263.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $281.84	Facility		$64.57	$138.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $144.54	Professional		$54.95	$81.28	$144.54